This is an online E log book to discuss our patient's de-identified health data shared taking his/her guardian's signed informed consent. Here we discuss individual patient's problem through series of inputs from patient's attendees and investigations done, with an aim to solve those patients problems with collective current evidence based inputs. valuable inputs in comment box are welcome. G.NEHAREDDY, Roll.no. 31 CASE DISCUSSION I have been given this case to solve in an order to attempt to understand the topic of patient clinical data including History,clinical findings, investigations and come up with a diagnosis and treatment plan A 55year year old male , On 25/8/21 has come to hospital with Cheif complaints : • seizures an hour ago ( uncoincious) History of present illness : patient was apparently asymptomatic 3 years back then he developed shortness of breath (SOB)which made him to stop smoking, SOB was insidious in onset ,gradually progressive where he